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Symbiohealth
Published by Civiliza Publishing
ISSN : -     EISSN : 30217415     DOI : https://doi.org/10.59525/symbiohealth
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Symbiohealth is published by Civiliza Publishing and distributed twice a year. Symbiohealth is dedicated to researchers and academics intent on publishing research, scientific thinking, and other original scientific ideas. Symbiohealth scientific periodical publication on Public Health Science and Healthcare Studies issue as a media for information dissemination of research results for lecturer, researcher, and practitioner.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 15 Documents
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The Relationship between Weight and Age on the Decline in Functional Activities in State Civil Apparatus at the Cirebon City Environmental Service Riswandani, Kahfi; Jafar, Muhammad Ali; Norlinta, Siti Nadhir Ollin
Symbiohealth Vol. 3 No. 1 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.v3i1.659

Abstract

The decline in functional activities is a health problem that is increasing globally, especially among workers of productive age, including the State Civil Apparatus (ASN). Internal factors such as age and weight are known to contribute to an increased risk of musculoskeletal disorders, including low back pain. This study aims to determine the relationship between weight and age to the decrease in functional activity in ASN at the Cirebon City Environmental Service. The study used a correlational analytical design with a cross sectional approach. The sample was taken by purposive sampling with a total of 51 respondents who met the inclusion criteria. Data was collected through a Google Form-based questionnaire that included biodata, Numeric Pain Rating Scale (NPRS), and Oswestry Disability Index (ODI). Data analysis was carried out using the Shapiro-Wilk normality test and the hypothesis test with parametric correlation analysis. The results showed that both age and weight were significantly related to decreased functional activity. Respondents with older age and above-normal weight have a higher prevalence of experiencing low back pain complaints in the moderate to severe category. It was concluded that the increase in age and body mass index contributed to an increased risk of decreased functional activity in ASN.
The Psychological, Social, and Health Impacts of Cigarette Smoking on Youth: A Sociological investigation in Sindh, Pakistan Khoso, Abdul Rasool; Bhutto, Shahnaz; Asif, Muhammad; Suyuhan, Wang
Symbiohealth Vol. 3 No. 2 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.v3i2.976

Abstract

Cigarette consumption represents a noteworthy health crisis internationally, posing risks especially to the youth. It is listed among the primary avoidable reasons for death internationally, with over 8 million casualties yearly, where more than 7 million are due to the direct use of tobacco and about 1.2 million are caused by second-hand smoke exposure. This research aims to investigate the psychological, social, and health risks to youth, particularly in regions like Sindh, Pakistan. This study investigates these impacts through a cross-sectional mixed-methods design involving 310 youth aged 15–25 years in Larkana, Sindh. Quantitative data was collected via structured questionnaires assessing social, psychological, and health impacts, while qualitative insights were gathered from semi-structured interviews. The quantitative analysis was done using SPSS to gather the actual figures, while the qualitative analysis was done using NVIVO software. The results revealed key predictors of social, psychological, and health impacts of smoking. Regression analysis showed that peer influence (β = 0.25, p < 0.001), smoking duration (β = 0.12, p < 0.001), and age (β = 0.08, p < 0.001) were significant predictors of social impacts. Psychological impacts were significantly influenced by smoking frequency (β = 0.18, p < 0.001), anxiety scores (β = 0.30, p < 0.001), and age (β = -0.04, p = 0.046). Health impacts were primarily driven by smoking duration (β = 0.22, p < 0.001), craving scores (β = 0.35, p < 0.001), and education level (β = -0.10, p = 0.013). Qualitative findings highlighted peer pressure, stress relief, and societal stigma as key drivers of smoking initiation. Health concerns and limited awareness of long-term risks further exacerbated smoking prevalence. The study concludes, peer pressure and social acceptance were key factors driving smoking habits, which were linked to anxiety, depression, and chronic health issues like respiratory problems. The study highlights the need to reduce stigma, raise public health awareness, and improve access to smoking cessation support, particularly for women. Policy recommendations include the need for culturally relevant anti-smoking campaigns, increased access to cessation resources, and the integration of tobacco education into school curricula.
Migration and Gender Health: Navigating Intersecting Vulnerabilities and Resilience: A case study of Lahore Zaheer, Ifra
Symbiohealth Vol. 3 No. 2 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.v3i2.1018

Abstract

This qualitative study investigates the gendered health impacts of internal migration on women in Lahore, Pakistan, through in-depth interviews with ten female migrants. Employing a phenomenological approach and thematic analysis, the research explores how the migration process from pre-departure motivations through transit to urban settlement shapes physical, mental, and social well-being through an intersectional lens. The findings reveal that migration is a deeply gendered experience driven by economic precarity and shaped by gendered pressures. Participants reported significant vulnerabilities, including fear of harassment during transit, precarious living conditions in informal settlements, and formidable barriers to healthcare characterized by financial cost (mehngai) and systemic disrespect (be-izzati). These intersecting vulnerabilities of gender, poverty, and rural origin manifested in starkly gendered health outcomes, most notably a high, yet unaddressed, burden of mental distress and severely limited access to reproductive healthcare. However, the study also uncovers profound resilience, as women actively navigated these challenges through the formation of "jhuggi networks" informal community support systems that provided emotional, informational, and financial resources. The study concludes that effective public health interventions must be gender-transformative, addressing structural barriers while leveraging existing community resilience to bridge the gap in healthcare access for this vulnerable population.
Educating Under Pressure: A Sociological Analysis of Academic Stress and Mental Well-being among Graduate Students in Sindh Asif, Muhammad; Khoso, Abdul Rasool
Symbiohealth Vol. 4 No. 1 (2026)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.1051

Abstract

The global crisis in graduate student mental health is well-documented, yet research from low- and middle-income countries (LMICs) remains scarce. This study addresses this gap by conducting a sociological analysis of the nexus between academic stress and mental well-being among graduate students in Sindh, Pakistan, a context marked by significant socioeconomic constraints. A quantitative, cross-sectional design was employed, using a structured questionnaire administered to a stratified random sample of 250 M.Phil. and Ph.D. students from Sindh Agriculture University, Tandojam. Data were analyzed using descriptive statistics, Pearson’s correlation, multiple linear regression, and Chi-square tests. The analysis reveals that academic stress, financial precarity, and gender are significant predictors of poor mental well-being. Fear of unemployment/job insecurity was the highest-ranked stressor (Mean=8.92). Self-funded students were significantly more likely to report severe anxiety (41.2%) than those with grants (8.3%). Female gender was a significant predictor of poorer well-being (β=.121, p=.016). Conversely, social support demonstrated a strong protective effect (β=-.385, p<.001). The findings indicate that psychological distress among graduate students is not an individual failing but a socially structured outcome, produced by a confluence of systemic pressures, economic insecurity, and institutional practices. The study argues for a paradigm shift from pathologizing individual resilience to reforming the socioeconomic and institutional architectures of graduate education in developing contexts.
An Analysis of Public Knowledge, Attitudes, and Practices Regarding Cigarette Smoking: A Cross-Sectional Survey of Residents in Lahore, Pakistan Zaheer, Ifra; Shahzad, Huma; Fatima, Faseeha; Ali, Farhad; Veesar, Attaullah
Symbiohealth Vol. 4 No. 1 (2026)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.1099

Abstract

Tobacco smoking remains a formidable public health challenge in low- and middle-income countries like Pakistan. This cross-sectional study aimed to assess the knowledge, attitudes, and practices (KAP) regarding cigarette smoking among 800 residents of Lahore, selected via a multi-stage sampling technique. The findings reveal a smoking prevalence of 23%, with initiation primarily occurring in late adolescence (mean age 19.2 years) and driven predominantly by peer pressure (75%) and stress relief (56.3%). While knowledge of major health risks like lung cancer was high (94%), a significant gap existed between this knowledge and personal risk perception, alongside the powerful influence of socio-cultural norms, including the high social acceptability of male smoking (75.5%) and the perceived efficacy of smoking for stress relief (81.8%). The study concludes that despite adequate awareness, smoking behavior in Lahore is sustained by deep-rooted social and cultural factors, underscoring the urgent need for public health interventions that extend beyond informational campaigns to address these normative and psychological drivers.

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